| NPI | 1821417452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN KLEIN Manager 847-329-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |